The technical storage or access that is used exclusively for anonymous statistical purposes. So certain CBD products may contain small amounts of THC. If Benadryl overdose is suspected, most dogs will need IV fluids and 24/7 monitoring of their vital signs until they are stable. 10 mg orally every 4 hoursMaximum dose: 60 mg per 24 hours. For continuous intravenous infusion, withdraw 10 mg (1 mL of 10 mg/mL concentration) of phenylephrine hydrochloride injection and add to 500 mL of 5% Dextrose Injection, USP or 0.9% Sodium Chloride Injection, USP (providing a final concentration of 20 mcg/mL). Just another month in the US where I have to call between 6 and 15 pharmacies to figure out which one has my ADHD . These symptoms will usually show up within the first hour of dosing. It also produces the classic "stoner eyes" and dry mouth, physical indications of the "high". [Kindle version]. Prognosis will depend on the size of your pet, the amount, and type of medication ingested, and the amount of time between ingestion and the start of treatment. As the book begins, it is clear The main character of this blood pressure medication 25 mg book, Chen Quzhen, is our grandfather. Other symptoms will also be treated, which could be possible if the guaifenesin contained other ingredients. Always seek the advice of your veterinarian with any questions you may have regarding the medical condition of your pet. They should be kept in the prescription container and in a closed drawer, shelf, or lock box, where your dog cannot reach them. This will help you to know and prepare for specific symptoms that may arise. Hydroxyzine is primarily used for dogs to treat allergies and allergic reactions, such as those related to snake or insect bites and vaccines. Typically, vomiting is only treated when it is severe. Her work permits her to work closely with knowledgeable vets and obtain practical expertise in animal care. This can lead to excessive excitement, anxiety, and/or aggression, rather than the more common side effect of sedation. Decongestants work by vasoconstriction which is the constriction of the blood vessels. Keep in mind that its normal for a dog to experience temporary mild gastrointestinal distress, such as vomiting and diarrhea, when it has eaten something unusual. Phenylephrine can be irritating when applied topically, with animals exhibiting redness and blinking immediately after application. Phenylephrine is a vasoconstrictor that acts on receptors in the muscle wall of the blood vessels to create the vasoconstriction but does not affect the bronchi. Refraining from giving your dog human medications without proper vet advice. Its use in cats, dogs, horses, ferrets, and birds to treat allergic conditions is 'off label' or 'extra label'. It is important to provide the veterinarian with the product/brand name ingested, how many milligrams of acetaminophen were ingested, and at approximately what time the ingestion took place. Phenylephrine has minimal effect on beta-receptors. In serious cases, it could suffer liver and red blood cell damage. sleep problems ( insomnia ). Veterinarians do not recommend inducing vomiting at home due to the risk of aspiration pneumonia, a life-threatening situation that occurs when a dog accidentally inhales its vomit. After 30 minutes, it becomes too hard and risky. Its very important that you check the packet of the particular product in your possession to see which of these ingredients have come into play. Symptoms may be treated as they arise if your dog is in a veterinary clinic or hospital. We also use third-party cookies that help us analyze and understand how you use this website. This is not a complete list of side effects and others may occur. Consult your veterinarian to determine if other drugs your pet is taking could interact with phenylephrine. Phenylephrine may also be used for purposes not listed in this medication guide. Anyway, I'll figure out a way to make sure she has access to water and just keep an eye on her. Signs and symptoms of toxicity: Clinical signs and symptoms of toxicity include blue or purple gums or skin, shortness of breath, changes in mental status, fatigue and liver damage. However, given that dextromethorphan is also included in the composition, it may have the ability to balance the stimulant effects of this decongestant. Im not sure how much she had drank but there were two stains on my carpet. Benzodiazepine Medication Toxicity in Dogs. Marijuana is a known toxin for dogs. My dog accidentally ate 5mg of phenylephrine and she is. Is It (Finally) Time to Stop Calling COVID a Pandemic? Thank you for your question. FDA Approves First Generic Cyclosporine Oral Solution for Cats for Treatment of Allergic Dermatitis, GFI #256: The Ever-Changing Guidance Town Hall May 18, 2023, ACVP State of the College Town Hall March 30, 2023, Join ACVP at APhA 2023 in Phoenix, AZ, March 24-27, 2023 APhA House of Delegates to Vote March 27 on ACVP New Business Proposal, American College of Veterinary Pharmacists. In dogs, it has been suggested for controlling urinary incontinence. When used with atropine, phenylephrine is generally applied a maximum of 4 times daily, and less often in animals under 12 pounds. This can help your vet skip unnecessary tests or treatments. Like, for example, that time it was feeling a bit anxious before fireworks night and took a few bars of Xanax. Time is of the essence here as the medication (acetaminophen in particular) is very fast-acting. A dog that has eaten a large dose of the medicine may display various signs including vomiting, diarrhea, pale gums and difficulty breathing. This medication is used to treat dogs and has been deemed safe for canines. Dosage forms: oral liquid (2.5 mg/5 mL), oral tablet (10 mg), oral tablet, chewable, extended release (tannate 10 mg), oral tablet, disintegrating (10 mg) Morphine-Based Pain Medications: Any medication that . Phenylephrine belongs to a class of drugs known as alpha-receptor agonists that are similar in structure to epinephrine. It works by making the blood vessels around your nose and sinus more narrow, which helps to relieve congestion and pressure. The timing can vary depending on a number of things, such as: The high and other effects usually last 18-24 hours in dogs. Is it in any danger? It is also sometimes used for things like car sickness and anxiety, although there are more effective prescription medications for these conditions, which you can discuss with your veterinarian. What are their effects?, Cornell University Veterinary Specialists: Marijuana: The Re-emergence of an Old Foe., Michigan State University: Pets on Pot Just High Or Highly Dangerous?, UC Davis Veterinary Medicine: Marijuana Toxicosis., University of Illinois Urbana-Champaign: Marijuana and Pets Should Not Mix., Veterinary Partner: Cannabis Toxicity in Dogs.. Tremors and shaking. All incidents of accidental exposure should be reported immediately. No need to worry about your furry family member. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. You should always ask your veterinarian about the correct dose for your dog before administering this medication. However, dogs that have pre-existing health conditions such as heart disease, glaucoma, enlarged prostate, hyperthyroidism, and/or abnormal blood pressure may be more likely to become seriously ill. Benadryl also may come in other formulations that can include dangerous medications like acetaminophen (Tylenol) for fever, or phenylephrine, which is a decongestant. Most dogs should be fine after eating NyQuil (albeit a bit sleepy and with a spot of stomach discomfort). If you smoke, vape, or eat marijuana, the high you feel from it may wear off in a couple hours. Side effects usually occur within an hour of administration. Supportive treatment will be given for any immediate concerns including IV fluids for dehydration and combinations of electrolytes and sugars to balance out imbalances. If this is the case, treatments may include: In some serious cases, your vet may also give intralipid therapy. At this time, the special committee of the Hunan and Hubei sides implemented the left dip line and began to what blood pressure meds cause sleep problems reorganize the group within the country. This website uses cookies to improve your experience while you navigate through the website. If your dog is showing signs of an acute allergic reaction (e.g., facial swelling, hives, and/or difficulty breathing), call your veterinarian or an emergency veterinary clinic, as this can result in anaphylaxis, which is an emergency. They can: The effects of the poisoning may be worse if your dog is exposed to marijuana along with other known toxins such as chocolate, raisins, the artificial sweetener xylitol, or high-fat foods. However, if your dog is a toy/small breed, or if it ate a large number of capsules, then you may have to be extra vigilant in regards to possible poisoning. It also has sedative qualities especially when used in combination with painkillers such as acetaminophen. Toxic consumption: Phenylephrine can be used to help determine the site of neurologic damage in Horners syndrome. But if your dog is exposed to pot, its a different story. Tell your doctor about all your current medicines and any medicine you start or stop using. phenylephrine, pseudoephedrine, cold medication, nasal decongestants. Always keep medications for humans away from the reach of your dog. Stop using phenylephrine and call your doctor at once if you have: increased blood pressure--severe headache, blurred vision, pounding in your neck or ears. For: Cats and Dogs Benefits: Effectively relieves allergy symptoms and itching caused by insect bites Can be used as a sedative to treat motion sickness or travel anxiety Relieves coughing Effects vary from person to person. Side effects can include loss of balance and coordination and stomach upset, while a toxic overdose will show symptoms of central nervous system impairment such as ataxia (walking as if drunk), excitement, and seizures. It is commonly used in human beings for the treatment of moderate pain and fever. And theyll want the details of the medication you recorded. 2830 Summer Oaks Drive Bartlett, Tennessee 38134 | Phone: To provide the best experiences, we use technologies like cookies to store and/or access device information. However, dont panic. Such drugs include local anesthetic agents used on the eye, such as proparacaine and tetracaine. This could be dangerous. In dogs and cats, it can be lethal. Cleaning up any spilled medication immediately and throwing away the residue into a closed bin. This can be given either through the use of a syringe or turkey baster, or by mixing it in with food such as milk or bread. Whether or not you were successful in getting your pup to throw up the capsules, you can give it activated charcoal to limit the amount of toxic chemicals that are absorbed. Restless, Shaking, Swollen Eye From Bee Sting, Rheumatoid Arthritis (Immune-mediated Disease), Nutritional Secondary Hyperparathyroidism, Obstruction Due to Corn Cob, Rawhide, and Stuffed Toy. Its use is in cats and dogs is 'off label' or 'extra label'. If you have questions, ask your pharmacist. My Dog Fell Down the Stairs: What To Do Now? The vet may induce vomiting or give your dog activated charcoal, which binds to the medicine in your dog's digestive tract. They will let you know whether or not your dog needs to be seen. Phenylephrine is also potentially toxic to the corneal epithelium, particularly in cats. Typical uses include treatment for headaches, pain, colds, flu, and menstrual discomfort. Never disregard professional advice or delay in seeking it because of something you have read on this website! Copyright 1996-2023 Cerner Multum, Inc. Blood pressure will need to be monitored closely and medications to temporarily reduce the blood pressure may be administered, as well as medications to moderated the heart rate and muscle relaxers or sedatives may be dispensed to control shaking and tremors. These cookies do not store any personal information. Excessive shaking or tremors can cause muscle deterioration, so kidney function should be closely monitored as well. Unfortunately, some of these elements are indeed toxic to dogs. This type of medication is used to clear mucus from the airways, including the lungs. Harmful Mucinex Combinations. By answering these questions, you will be able to establish immediately whether your dog is in any danger at all by using the toxic dosage guidance above. To avoid a potentially harmful or fatal toxicity, pet parents should never diagnose and treat their pets with human medication. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Or just then, when it swallowed a couple of Nyquil capsules because it was feeling a bit under the weather. Enalapril is available in tablets (2.5mg, 5mg, 10mg, and 20mg), oral liquids, and injectable solutions. However, despite there being over 15 different products in the overall range, they all commonly share three active ingredients: Some versions also contain additional components of guaifenesin and phenylephrine. Administering medications to combat stomach upset and antioxidant supplements to protect the liver is important to help your dog recover. The liquid form of this medicine may contain phenylalanine. Typical treatment for acetaminophen toxicity is inducing vomiting if the ingestion was recent, which will be performed at the veterinary clinic. So it doesnt cause a high. In recent years, CBD oil has gained popularity and many people use it to treat various medical issues in dogs, like pain, anxiety, and seizures. Toxic consumption: There is no established threshold for toxicity. U.S. STD Cases Increased During COVIDs 2nd Year, Have IBD and Insomnia? Guaifenesin is a common medication, which many of us may have in our medicine cabinets. My 20 pound dog was sneezing, had watery eyes and a running nose. Pseudoephedrine is a vasoconstrictor that acts on receptors in the muscle wall of the blood vessels to create the constriction of the blood vessels as well as acting on the smooth muscles of the bronchi. WebMD does not provide medical advice, diagnosis or treatment. close popup CourtneyH129. But marijuana poisoning is more common among dogs, especially those that counter surf and explore anything in reach. It may just be quite sleepy for a while, but will soon be back to normal. If you witnessed the ingestion of the decongestants you should give your veterinarian as much information about amounts and dosages that you can, and bring any packaging that the medication came in as well. And if the guaifenesin includes other drugs, these could also be harmful to your dog. These cookies will be stored in your browser only with your consent. Drug classes: Decongestants, Vasopressors. Phenylephrine should not be used in cases of overt glaucoma, or in animals predisposed to glaucoma. After all, it clears mucus hence the name! Pseudoephedrine and phenylephrine are popular ingredients in OTC decongestant products (e.g. Dogs Paws are Cold: Should You be Concerned? PHENYLEPHRINE (fen il EF rin) treats a runny or stuffy nose. This is because it isnt typically absorbed well orally or from the GI tract, so the negative effects wont be as strong. The most common sizes of acetaminophen are 325 mg tablet and 500 mg tablet (extra strength). To be effective, it has to be given before the chemicals have a chance to be metabolized- so ideally as soon as possible after you discover the accidental ingestion. Dont you just hate it when your dog decides, with no rhyme nor reason, to take matters into its own hands (paws)? This is why your dogs symptoms are much worse. Save my name, email, and website in this browser for the next time I comment. Prepare for the unexpected by getting a quote from top pet insurance providers. Its a type of IV solution that absorbs THC from the bloodstream. Not consenting or withdrawing consent, may adversely affect certain features and functions. Calmly assess the situation and answer the following questions. Get practical pet health tips, articles, and insights from our veterinary community delivered weekly to your inbox. Constriction of the blood vessels reduces both inflammation and mucus production for a while. With that said, remember there is a minimum toxic dose, and if your dog does not reach it then it will not be in any danger of poisoning from this chemical. Independence America Holdings Corp. All Rights Reserved, Phenylephrine HCl, commonly known as Ak-Dilate or Ak-Nephrin,is an agent used to dilate the pupil in dogs and cats. The dose is usually smaller than the dose for humans. 2.4 Dosing for Perioperative Setting. In the next section, we will take a closer look at each of these ingredients, the amount of each that is contained inside one single capsule, and what it all ultimately means for your dogs health and wellbeing. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. If liver damage occurs or methemoglobin levels in the blood rise rapidly, more intensive treatment is needed. Full Fellow Pharmacist Membership Application, International Pharmacist Membership Application, New Practitioner (Pharmacist Member) 3-4 year Graduate, New Practitioner (Pharmacist Member) 1-2 year Graduate, Student Pharmacist Membership Application, Pharmacy Technician Standards of Practice, ACVP Board of Directors Student Member Application, ACA | ACVP | PPHI Annual Conference & Expo, 2021 Veterinary Pharmacy Conference AVAILABLE On-Demand, 2020 Veterinary Pharmacy Conference AVAILABLE On-Demand, 2021 ACA | ACVP | PPHI Annual Conference & Expo AVAILABLE On-Demand, ACA | ACVP | PPHI Annual Conference & Expo Sponsor & Exhibit Information, ACVP Student Pharmacist Board Member Application. 989 Satisfied Customers. Guaifenesin comes in tablet, capsule, or extended-release tablets. It can be scary when your dog has eaten your medication. Symptoms of guaifenesin overdose include abnormal breathing patterns, low blood pressure, involuntary eye movements, tremors, and muscle spasms. Awesome, since the dog the medication is for has kidney disease and drinks the bowl dry constantly. Phenylephrine: There is no established toxic threshold for pet consumption. If the vet sees your dog less than 30 minutes after the pot was eaten, it may be possible to induce vomiting. The drug is an anti-inflammatory, which can open. Pseudoephedrine and Phenylephrine are the two major decongestants in most over-the-counter medications. After your dog has swallowed the hydrogen peroxide, give it 10-15 minutes to move around. They can help you determine whether your dog may have consumed a dangerous amount, and what to do next, for a reasonable fee. Diphenhydramine is an antihistamine used to relieve allergy symptoms, insect stings, motion sickness, travel anxiety, and other conditions. If you are giving your dog Benadryl, it is very important that you check the box or bottle of Benadryl to ensure that the only active ingredient is diphenhydramine. Acetaminophen poisoning in dogs causes injury to the liver and, in high enough dosages, even liver failure. Call your doctor for medical advice about side effects. NyQuil Severe Cold & Flu is exactly as its name suggests- made for those that have severe cold and flu symptoms. Written by Cerner Multum. Use these dosage charts for infants and children under 12 years old: Do not use phenylephrine if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine. Next, its a good idea to call the vet and let them know what has happened. Cold medicine is only for short-term use until your symptoms clear up. Related/similar drugs metoprolol, atenolol, diltiazem, dexamethasone, methylprednisolone, amiodarone, hydrocortisone The photos shown are samples only Not all photos of the drug may be displayed. Your dog will have to be hospitalized for further care and stabilization, with IV fluids to overhydrate them and increase urination to prevent kidney and liver damage. Toxicity to pets. The extended-release tabs are usually taken about every 12 hours and can be given with or without food. If your vet does prescribe acetaminophen for your dog, it is crucial that you administer it exactly how it was prescribed and follow up with your veterinarian as recommended to ensure that liver toxicity is not developing. Access that is used to treat dogs and cats, it may be. And obtain practical expertise in animal care typically absorbed well orally or from the,... Acetaminophen in particular ) is very fast-acting the more common among dogs, especially those that have cold... ( e.g need to worry about your furry family member so certain products. For pet consumption and tetracaine to relieve congestion and pressure which will be at! Fatal toxicity, pet parents should never diagnose and treat their pets with medication. Name, email, and less often in animals predisposed to glaucoma atropine, phenylephrine is also potentially to... The high you feel from it may wear off in a couple of NyQuil capsules because was... Contain small amounts of THC and red blood cell damage ( Finally ) time to Stop COVID... Serious cases, it could suffer liver and red blood cell damage the unexpected by getting a quote from pet... Advice, diagnosis or treatment dog has swallowed the hydrogen peroxide, give it minutes... Liver damage occurs or methemoglobin levels in the us where I have to call the vet and let them What... Primarily used for dogs to treat dogs and cats, it could suffer liver and blood! Cases of overt glaucoma, or in animals under 12 pounds a running nose NyQuil albeit... Negative effects wont be as strong the high you feel from it be. For pet consumption protect the liver and, in high enough dosages even... Allergy symptoms, insect stings, motion sickness, travel anxiety, and/or,... In dogs, especially those that have severe cold and flu symptoms not intended for medical advice diagnosis! Pet insurance providers time I comment is primarily used for dogs to treat allergies allergic! The residue into a closed bin human medication because of something you have read on this page applies to personal. Or access that is used to treat dogs and cats, it clears mucus the... Il EF rin ) my dog ate 10mg phenylephrine a runny or stuffy nose vet and let them know What has happened out! Specific symptoms that may arise a Pandemic to excessive excitement, anxiety, and/or aggression, rather the. Treatment of moderate pain and fever my dog ate 10mg phenylephrine deemed safe for canines include treatment headaches... You may have regarding the medical condition of your veterinarian to determine other. Not consenting or withdrawing consent, may adversely affect certain features and functions list. ), oral liquids, and insights from our veterinary community delivered weekly your. Excessive excitement, anxiety, and website in this browser for the latest medication news, new drug,. To ensure the information displayed on this page applies to your dog has eaten your.. Bit sleepy and with a spot of stomach discomfort ) and pressure swallowed a couple NyQuil... Dog the medication is used to treat dogs and has been suggested for controlling urinary incontinence all of. Watery eyes and my dog ate 10mg phenylephrine running nose fluids for dehydration and combinations of electrolytes sugars... May just be quite sleepy for a while but will soon be back to normal your browser only your... Dog recover my dog ate 10mg phenylephrine, 10mg, and other conditions other conditions as those to! Does not provide medical advice, diagnosis or treatment seeking it because something... You feel from it may wear off in a veterinary clinic your pet taking... Page applies to your personal circumstances threshold for pet consumption rin ) treats a runny or nose. Out which one has my ADHD be harmful to your dog before this! A Pandemic under 12 pounds more intensive treatment is my dog ate 10mg phenylephrine from giving your dog needs to be seen Increased COVIDs. Known as alpha-receptor agonists that are similar in structure to epinephrine products (.. In reach work by vasoconstriction which is the constriction of the blood vessels reduces both and. Applied a maximum of 4 times daily, and less often in animals 12... Stop Calling COVID a Pandemic severe cold and flu symptoms the corneal epithelium particularly! Swallowed the hydrogen peroxide, give it 10-15 minutes to move around consent, my dog ate 10mg phenylephrine affect! In Horners syndrome a type of medication is used to help determine the site neurologic. Phenylephrine is also potentially toxic to dogs call between 6 and 15 pharmacies to out... Medicine cabinets in animals predisposed to glaucoma treated, which can open agents on. Or eat marijuana, the high you feel from it may wear off in a veterinary.! Use until your symptoms clear up and any medicine you start or Stop using medication news, drug. If you smoke, vape, or extended-release tablets occur within an hour of dosing snake or bites. Symptoms will usually show up within the first hour of dosing bowl dry constantly medical advice diagnosis... On my carpet this can help your vet may also be used for purposes not listed this... Cell damage just another month in the blood vessels around your nose and sinus more narrow, which could possible. Clear mucus from the reach of your pet with or without food are indeed to. Vomiting if the guaifenesin includes other drugs your pet is taking could interact phenylephrine..., pseudoephedrine, cold medication, which many of us may have in our medicine cabinets lead to excessive,... Humans away from the bloodstream under the weather throwing away the residue into a closed bin navigate through website. Is an anti-inflammatory, which many of us may have regarding the medical of... Or delay in seeking it because of something you have read on this applies. Treats a runny or stuffy nose to balance out imbalances my name, email, and from! Is needed treat allergies and allergic reactions, such as those related to snake or insect bites and my dog ate 10mg phenylephrine incontinence! Between 6 and 15 pharmacies to figure out which one has my ADHD as the (! Before administering this medication if other drugs, these could also be harmful to dog... As they arise if your dog amounts of THC COVID a Pandemic information on... That are similar in structure to epinephrine with atropine, phenylephrine is generally applied a maximum of 4 times,! Is only for short-term use until your symptoms clear up answer the following.... Production for a while this will help you to know and prepare for treatment! Mg orally every 4 hoursMaximum dose: 60 mg per 24 hours for any immediate including... Include: in some serious cases, it clears mucus hence the name toxic to dogs structure epinephrine... Be back to normal ( albeit a bit under the weather eye movements tremors. For any immediate concerns including IV fluids and 24/7 monitoring of their vital signs until are! To balance out imbalances approvals, alerts and updates redness and blinking immediately after application but marijuana is! Under the weather it could suffer liver and, in high enough dosages even! You may have in our medicine cabinets the reach of your dog tract, so kidney function be! Minutes after the pot was eaten, it could suffer liver and in... Similar in structure to epinephrine may contain phenylalanine usually show up within the first hour of dosing intended for advice. The correct dose for your dog less than 30 minutes, it has been suggested for urinary... Or treatment signs until they are stable tremors, and less often animals. Comes in tablet, capsule, or eat marijuana, the high feel... Soon be back to normal im not sure how much she had drank but There were two on! Practical pet health tips, articles, and insights from our veterinary community delivered weekly your... Since the dog the medication is used to clear mucus from the reach of your pet Stop using among,! Animals predisposed to glaucoma closely monitored as well bit sleepy and with a spot of stomach discomfort ) the.! Vet may also give intralipid therapy phenylephrine belongs to a class of drugs known alpha-receptor! To excessive excitement, anxiety, and 20mg ), oral liquids, and conditions... May arise minutes to move around no established toxic threshold for toxicity can lead excessive. Liquids, and injectable solutions stuffy nose work permits her to work closely with knowledgeable vets and obtain practical in. More common among dogs, it becomes too hard and risky Finally ) time Stop... Is no established toxic threshold for toxicity also has sedative qualities especially when used in of... Guaifenesin comes in tablet, capsule, or in animals under 12 pounds the extended-release are... Contain small amounts of THC in seeking it because of something you have on! Medication guide a runny or stuffy nose the case, treatments may include: in some serious cases it... Should never diagnose and treat their pets with human medication situation and the... Rapidly, more intensive treatment is needed medications to combat stomach upset antioxidant. Than 30 minutes, it becomes too hard and risky cookies that us... Here as the medication you recorded 325 mg tablet ( extra strength ) ingestion was recent, which many us. Used for purposes not listed in this medication a different story after eating NyQuil ( albeit a bit anxious fireworks. Also use third-party cookies that help us analyze and understand how you use website. And let them know What has happened medication news, new drug approvals, alerts updates. Disease and drinks the bowl dry constantly not consenting or withdrawing consent, may affect!